Updated 23 April 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection was carried out by one Inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own home.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post, they were also the nominated individual and the provider. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because the service is small and we wanted to be sure the registered manager would be available when we visited.
Inspection activity started on 15 March 2022 and ended on 18 March 2022. We visited the location’s office on 15 March 2022.
What we did before the inspection
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We reviewed information we had received about the service since it registered with us. We used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager. We reviewed a range of records. We looked at two staff files in relation to recruitment and staff supervision. We looked at two electronic care plan records, policies, training data and quality assurance records. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found. We spoke with four people who used the service and two relatives, about their experience of the service. We spoke with four staff about working for the service.